FOOTHILLS SPORTS MEDICINE PHYSICAL THERAPY- BUCKEYE LLC

BUCKEYE, AZ
NPI1811645484
Entity TypeOrganization
Authorized ContactMICHAEL L BASTEN
Delegated Official/CEO
480-689-5515
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-03-14
Last Update Date2022-03-25
Business Address
FOOTHILLS SPORTS MEDICINE PHYSICAL THERAPY- BUCKEYE LLC
1300 S WATSON RD STE 104
BUCKEYE, AZ 85326-6264
Phone number: 480-706-1161
Mailing Address
FOOTHILLS SPORTS MEDICINE PHYSICAL THERAPY- BUCKEYE LLC
15410 S MOUNTAIN PKWY STE 112
PHOENIX, AZ 85044-6691
Phone number: 480-689-5534
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